Healthcare Provider Details

I. General information

NPI: 1265492185
Provider Name (Legal Business Name): JBDL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/24/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1004 CHESTER PIKE
SHARON HILL PA
19079-1913
US

IV. Provider business mailing address

1004 CHESTER PIKE
SHARON HILL PA
19079-1913
US

V. Phone/Fax

Practice location:
  • Phone: 610-586-3100
  • Fax: 610-586-3700
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code333600000X
TaxonomyPharmacy
License NumberPP410137L
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code3336L0003X
TaxonomyLong Term Care Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: JOHN CARAMANICO
Title or Position: PHCY MGR
Credential:
Phone: 610-586-3100